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首页> 外文期刊>Journal of Community Health >Racial/Ethnic Differences in the Self-Reported Use of Screening Mammography
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Racial/Ethnic Differences in the Self-Reported Use of Screening Mammography

机译：自我报告使用乳腺钼靶检查的种族/种族差异

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摘要

The efficacy of mammography in reducing breast cancer mortality among women 50–69 years of age has been demonstrated in randomized controlled studies, but many women, especially ethnic minorities, have not been receiving regular mammographic screening. The current study investigated racial/ethnic differences in mammography use and their association with demographic characteristics and other factors. The study population consisted of 4,444 women aged 40 years and older who participated in the1996 Medical Expenditure Panel Survey. Outcome measures studied included the self-reporting of mammography within the past two years and past year. Multivariate logistic regression modeling was used to examine the effect of race while controlling for other factors. In the univariate analysis, there was virtually no difference between white, black, and Hispanic women in mammography rates within either one or two years. However, multivariate logistic regression suggested that both blacks and Hispanics were more likely than whites to have received recent mammography, as black women were 31% and Hispanic women were 43% more likely than white women to have had a mammogram within the previous two years. Our results suggest that white women are no longer more likely to receive periodic screening mammography than black and Hispanic women, and in fact, might even be less likely to undergo the procedure. This reversal might indicate, at least in part, that programs and other activities to promote screening mammography among ethnic minority women have been successful and should now be expanded to include other women.
机译：随机对照研究证明了乳腺X线摄影在降低50-69岁女性乳腺癌死亡率中的功效，但是许多妇女，尤其是少数民族妇女尚未接受定期的乳腺X线摄影筛查。当前的研究调查了乳腺X射线摄影使用中的种族/种族差异及其与人口统计学特征和其他因素的关系。研究人群包括4,444名年龄在40岁以上的妇女，他们参加了1996年医疗支出小组调查。研究的结果指标包括过去两年和过去一年中的乳房X线照片自我报告。在控制其他因素的同时，使用多元逻辑回归模型检查种族的影响。在单变量分析中，一两年内，白人，黑人和西班牙裔女性的乳房X线照片率几乎没有差异。但是，多因素logistic回归表明，黑人和西班牙裔女性最近接受乳房X线照相的可能性均高于白人，因为在过去两年中，黑人女性接受乳房X线检查的可能性比白人女性高31％，西班牙裔女性的可能性比白人女性高43％。我们的结果表明，与黑人和西班牙裔女性相比，白人女性不再可能接受定期的乳房X线摄影，事实上，接受该过程的可能性更低。这种逆转可能至少部分表明，在少数族裔妇女中进行乳腺钼靶筛查的计划和其他活动已经成功，现在应扩大到包括其他妇女在内。

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